Roswell Park Memorial Institute, Medical On cology,
666 elm Street, Buffalo, New York 14263, USA
Through the years considerable advances have been made, and have
been highly publicized in developing curative regimens for acute
lymphocytic leukemia. For most large series the probability of a
long-term continuous complete remission exceeds 0.5. Equally well
publicized have been the less dramatic, but steady advances in the
management of adult nonlymphocytic acute leukemias where long-term
survivals are reported in 10%-30% of cases, depending both on the
rigorousness of treatment and the constraints of eligibility to
the study. Surprisingly, relatively little attention has been afforded
the good news in the treatment of acute myelocytic leukemias occurring
in pediatric patients during this same period. Clearly a child with
AML has a harder row to hoe than does his counterpart with ALL.
At the same time a few single-institution studies have achieved
strikingly good results with these patients (Weinstein, Leventhal)
using aggressive chemotherapy, and a not incon.siderable proportion
of the successes of allogeneic bone marrow transplantation have
depended upon HLAmatched siblings of this younger age group. However,
only recently have large controlled trials been conducted and analyzed
which employed intensive chemotherapy in childhood AML. The studies
presented by Creutzig and her coworkers within the Berlin-Frankfurt-Miinster
group are notable examples of the signal advances in pediatric patient
management and the outstanding contributions made by West German
clinical investigators during the past decade. All students of leukemia
have been inspired by the early studies of the treatment of childhood
ALL, conducted by pathologists, internists, and even pediatricians
in those happy times when an ecumenical spirit of achievement held
sway. Today we continue to turn to advanced studies in childhood
cancers for those leads which may be used in hematological malignancies
of all age groups.
For these several reasons the poster presentation by Creutzig et
al. was chosen not only "best of class " but "best of show. "
Edward Henderson
T. A. Lister, K. A. McCreche
The poster awards selection committee
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